Articles on abuse

Nip It in the Bud, Things You Should Know About Substance Abuse!

Ms. Michelle Manasseh, Psychologist
I was motivated to write this article on substance abuse among college students, after my recent interaction with a distant cousin (in college) who has been in treatment for drug and alcohol abuse for the past 4 months. It was personally heart wrenching to see this young boy, go through intense mental health treatment (including, Electro-convulsive therapy) that his family wanted, with the goal of wanting him to recover and realize, the path he chose was life threatening, scary and dangerous. His experience got me questioning, if one needs to be pushed to extremities of treatment and punishments to realize, that one’s body and life is precious? If so, why, and is there a way to help before it is too late?Substance abuse in the past few years has become a growing problem in India and especially among adolescents. College students have begun to have easier access to drugs and adding to that, the high stress as a student appears to be the perfect recipe for alcohol and drug use. An article on dnaindia.com stated that there are 30% of students who are addicted to drugs in Bangalore as of July, 2012. Prior to that, in an article on rediff.com, dated August 2007, stated that, 23% of students were on drugs in Bangalore. This is a staggering increase of 7% in a matter of 5 years. Is it the responsibility of our government to better monitor and stop peddlers and illicit drug trafficking or is it the responsibility of the parents to have a better relationship with their children therefore, reducing drug and alcohol use? We can play the bystander and keep handing over our responsibilities to someone else but, we need to realize, that it is OUR problem and we all need to do our bit. The cause of the drug and alcohol abuse varies from peer pressure, familial problems, relationship problems and genetically being predisposed, to easy access to drugs. There is no doubt that the government can and should continue to be strict and more vigilant but, we need to address the other aspects as well because, if one wants to consume alcohol or drugs, he/she will find a way to do so. The only way of reducing the ever-increasing alcohol and drug abuse problem is by educating oneself of the signs and helping each other. Awareness and knowledge of the long lasting effects of alcohol and drugs and the right help at the right time has always proved to help effectively and a tremendous amount.Therefore, let us start by not turning a blind eye to people around us who might be struggling with the illness. It is important to remember, that the addicts and/or abusers have a deeper core issue, might not be aware that they have a problem and might even feel invincible. However, it is our responsibility as people who care and love them to lend a helping hand and take them for the appropriate treatment before it is too late, even if it means playing the “bad guy” for a brief period.Some signs to look for are:1) Recurrent substance use resulting in failure to fulfill obligations (work, college, school, family etc)2) Recurrent substance use even in situations where it is hazardous (drinking and driving)3) Increased tolerance to the substance therefore, needing to consume increased amounts4) Inability to function without the consumption of the substance5) Continued and frequent use of substance, despite knowledge of its persistent and recurrent negative consequences.

The Ways of Dealing With Anger, Depression and Fears of Emotional Abuse

Mr. Azeem Dana, Psychologist
Emotional abuse happens to most of the women, even men, all over the world. Like physical wounds, even emotional abuse wounds are taking too long to heal. Those emotional wounds are so deep that adverse effects of it take time to wear off.It affects physical health as well as the emotional state of mind, relationship with others and behavior. Self-esteem to deal with abusersIn any Psychological Counselling we cannot generalize. The solution has to be found out based on particular situation. And it is true that every issue can be sorted out with a solution. In the case of abuse, it is nothing but part of personality or behaviour. Personality is influenced by psychological, biological and social factors and hence, we call personality is a learned behavior, and whatever a person has learned can either be re-learned or unlearned.In the case of the victim to maintain self esteem, the victim should understand the psychological, biological and social factors from both the end, of being a victim and from the end of abuser. If the Boss or a Relative is abusing, find out the cause for his or her outrage. One reason can be, that the person is not educated, i.e., not knowing what he or she does, or it can be that they are brought-up in such a way influenced by psycho-bio-social factors or it can be the pressure created by others or can be some sort of illness. As a victim, once I understand the abuser, find out what makes me a victim of abuse. Whether I do not remain assertive due to lack of communication skills - like using questions of what, where, when, how and with whom -  to know exactly what other person mean to say or what they expect me to do. Or do I have to get trained in coping skills, so that I can fulfil my responsibility in a better way and if required I can undergo the training to enhance my skills. Or find out if I have to learn time management or share responsibilities, or it can be simply that I have to voice my concern, that is to speak out rather than suffering within, so that the other person understands my concerns better. The ways of dealing with anger, depression and fearsTo deal with anger, fear and depression, I should understand that any emotion that I express is not there just because of current situation. It is a repeated pattern of expression that I have been expressing throughout my life at various situations since my childhood days. So, to deal with any particular emotion, I should know about, or write down, my complete life history and identify the various situations of my life that made me to experience this particular emotion or anger. Then I have to find out the psychological, biological and social factors that made me to experience that particular emotion repeatedly from my childhood days. Once knowing them, find out what is that inner strength or ability that I was lacking to deal with that particular emotion. Then work on to develop that quality within myself.Meditation - Practicing silence of mind by relaxing the physical body- helps to overcome any type of depression, fear and anger by strengthening our mind and will-power.Belief in abilities and self-love to get rid of effects of emotional abuseThe effects of abuse can be overcome by knowing that personality is nothing but a learned behavior, and whenever we want we can change our personality with the help of knowledge – understanding of self and others gained by using our logical mind, will power – to maintain the desire for change, acceptance – without any guilt feelings of whatever has happened in the past, patience - giving time for change, hope, determination, love for self and others. Even if we do not have control over the stressors – person, place,situations - or the abusers, still we can deal with them when we remember ourown inner abilities and strengths, when we have faith in our own self, when weare able to maintain our self respect. To remember this at the time of need,every day morning and evening, practice simple visualization or imagination ofown strengths and abilities that are appreciated by our parents, relatives,friends since our childhood days to till date. The victim can also visualize and see in their mind how they are dealing with their abuser maintaining their self-esteem.Stop being abusedInstead of dealing with the situation by seeing one as a victim and other as an abuser, focus on the cause and solutions. Instead of reacting by revenge, respond to the situations using the logical sense of mind. The points to remember is:1. Try to understand using logical mind - understand the abuser and own self.2. If the abuser is not really an abuser but has real reason, try to make him or her understand, and if required, try to improve the self.3. If you find, the abuser is really an abuser, for his/her own reasons like illness or when you feel out of your control, speak out being assertive or act finding a new job, complaining to police, complaining to mental hospital or move away from the abuser.4. Forgive the abuser by understanding and remove the victim attitude from the self, learn from the past to begin a better future by adding coping abilities to the self. 

How Does One End Up to be an Abuser..?

Ms. Sneha Bhat, Psychologist
I am Rishi…This is my life story you are reading, which could be overlapping somewhat with your story, if you care to notice. I do not know to read or write however that does not mean that I cannot think or feel. I think as much as you do; more or less. Go through my story and figure it out for yourself.Then...I still remember those days, my childhood, particularly that night when I am sitting by the fireplace, watching mother cook. The way fire danced in the darkness is amazing me. There is certain anxiousness, anticipation & fear in my mind mixed with intoxicating aroma of boiling fish curry, increasing in intensity with every passing minute. I can imagine him entering the house any minute now, his red eyes & cruel face. Once he enters, what follows is shocking. I pray to god that he should be in good mood today. What if he comes & sits beside me for a change, watching the graceful dance of fire readily erasing darkness. What if he also savors the heavenly aroma of gravy, which has started to make random sounds now; occasionally patting me, smiling at my mother? God never listens to me.I want to stop him, wherever he is, right now. I cannot. I am too scared of him. I want to shut my eyes, ears & mind off, I cannot. He is right in front of me, staring at me. It’s too painful, He is so powerful. He shouts loudly. “You guys are good for nothing”. We both, me & my mother, should have done something terribly wrong to deserve all this shouting & beatings. He could have at least spared fish curry. I am so hungry & it seemed so tasty. I should have eaten sooner. What do I do now..?? Shall I run away somewhere, where there is no him..?? No, It’s so dark & I am too scared to go anywhere without mother. I want to be with her. He is still drinking from the bottle. What is in there must be something out of this world. Someone so big & all powerful like my father likes it. I should find out what it is. It might make me powerful too. The picture of them fighting is getting blurred. My eyes seem to be closing. When I open my eyes I am alarmed to see his face near me. Thank god he’s asleep. I close my eyes again & wait for the sleep to overtake the hunger.Now...I woke up at 6 in the morning & shouted at my wife to get breakfast soon. My factory owner would already be waiting with questioning face & impatient posture. He will say I am late by 15 minutes. It’s all her fault. She should have woken me up sooner. She cannot even cook a decent breakfast in time. These women, they are good for nothing. My son, he is still sleeping. I look at him for a second impatiently. I hurriedly eat & leave for factory. Today there will be three loads of granite, to be unloaded in the morning. I do not mind all this work but why does this owner find one or the other thing to blame me. Whatever I do is not good enough. May be I should shut my ears & do whatever I please or maybe I should run away and find another factory. I want to tell him that it hurts. I want to tell him that I am trying but he is so powerful & I am good for nothing. How can I talk to him that way? As the evening falls I have started to mull over the good time I am going to have. I touch my pocket umpteen times & get restless. The picture of Nandini bar is dancing in my eyes. Finally this tyrant of the owner relieved me. I rush to Nandini bar, strait to my liberator. It seems to be dark. I am really hungry. Now I will have to go home & see faces of this evil woman who cannot do anything right & this good for nothing kid. I struggle so much with this monster of the owner & this lady, look at her guts, she forbids me even from having good time. What does she know about the way I am belittled at work? What if she too works in a factory? I know, it cannot be that hard for her. I have the meanest boss, most thankless job & worst possible wife. On top, this son of mine hides behind her with tears in his eyes, cannot stand & face the situation, like a man. Let me go home & teach them a lesson.Next Moment...Who says I cannot think. I can. Who says I cannot feel. I do. However I don't know the way to come out of my loop & think. I fail to recognize my feelings & act. It's too hard to listen to myself. I do not know how to analyze things. It seems too scary to step out.It might be hard for me to change when it's a dead end or an endless loop, I am currently in. However, dead end need not mean end of my path, it's just an end of the road with many alternative roads waiting for me to take. A loop can have an exit, the moment I stop revolving & decide to step out. I can decide my own value. One day, I will..!!Photo Credit : http://cdn-ugc.cafemom.com/gen/constrain/500/500/80/2015/02/23/10/1b/yj/pob81613s0.jpg

Drug Abuse in Teens: Shocking Facts You Didn't Know

Ms. Rajeshwari Luther
It is estimated that 27.2% of high school students use illicit drugs on a regular basis. This is a very disturbing statistic considering the fact that the teenage years are formative in the development of a person’s career, personality and overall success. Adolescence is a very confusing time involving raging hormones, pressure to fit in at school and academic stress. Teenagers abuse and become addicted to drugs and alcohol for many reasons, and it is essential to understand them in order to treat patients successfully in a rehab. Addictions may start young. Many teenagers experiment with drugs and alcohol but don’t get addicted to them. While peer pressure may drive an adolescent to consume drugs or alcohol at parties or other events, other factors are responsible for the mental state of addiction. Trying drugs or alcohol at a party can, however, trigger the path towards addiction. For example, if a teenager has a genetic predisposition to alcoholism and is going through problems because of stress at school, she is likely to crave the relaxing effect of alcohol after she drinks for the first time. With repeated use of alcohol, she will need more of it to feel the same calming effect. This will eventually take her down the path of addiction until she is admitted into a rehabilitation center, and undergoes detox and other therapies. Many teenagers abuse prescription drugs. A popular example of this is stimulant drugs used to treat ADHD (attention deficit hyperactive disorder). These drugs are known to increase focus, thereby enhancing academic performance. This unfortunate phenomenon is aided by the accessibility of such drugs – it is very common for patients of ADHD to sell their prescription medications to other students in their schools. Many rehabilitation centers also report that teenage addicts are aided in their addiction because of the widespread availability of drugs in the form of school supplies – many students sniff glue or whitener. Teenagers are more susceptible to mental illness than any other age category. If a teenager already suffers from a condition like depression or anxiety, a tryst with drugs or alcohol at a party could cause to lead them down the path of addiction. Teenage brains are very different from adult brains from a biological perspective as well, which makes it more likely for them to abuse drugs or alcohol. There are many stressors related to school and peers, which make teenagers turn to drugs and thereby mentally escape from it all. For instance, bullying is very common among teenagers and causes tremendous stress. Disappointingly though, the main cause of a drug addiction in teenagers is ignorance. They believe that marijuana is not addictive, similarly, they do not know the effect of alcohol on the body. Teenagers have a lot to learn, and proper education is essential to reduce the rate of teenage drug and alcohol addiction. 

You Can't Hide Your Addiction!

Ms. Raisa Luther, Psychotherapist
Alcoholics and addicts think they are able to hide their addictive behavior from others. However, there are obvious signs that stand out. Over time, others can easily identify that the person has a problem with addiction. Those dependent upon drugs may think they are successfully hiding their habit from others, but obvious signs of standout addiction behavior will, over time point a very direct finger in your direction.Here are few signs exhibited by those who are regularly using alcohol or drugs that give the addict away:Mood swingsContinued use of substances such as alcohol and drugs affects your body and mind. When you are high you feel good. This is evident in your behavior. Under the influence, some alcoholics become overly talkative, while others become far more considerate towards their loved ones with over-the-top love and generosity.  On the other hand, if the addict is not high, he can become grumpy and display outbursts of anger over small issues. This happens when the alcoholic or addict is in ‘hangover’ stage and is in need of a ‘fix’.Such behavior will initially confuse those around you. They will wonder what they are doing to cause such changes in your attitude and the intensity of reaction you display to incidents that actually are insignificant.Soon this confusion turns to suspicion. This suspicion will be based on the fact that it is not their actions that are triggering such mood swings - it has something to do with you.Regular disappearancesAddicts and alcoholics tend to take very frequent ‘bathroom breaks?’ Regular and extended disappearances appear abnormal and evoke suspicion.Though the addict knows that such disappearances will eventually raise eyebrows and conjecture, he or she is unable to control the overpowering urge to feed his or her habit.Personal groomingFor addicts, personal grooming is not the priority. Getting and consuming alcohol and drugs tops the agenda, always. They wear whatever is readily available and personal hygiene is neglected.This is coupled with a gradual decline in general health. Typical signs are weight loss, extra-large or dilated pupils, unshaven, uncombed hair and a gaunt look. As this disheveled and unhealthy appearance becomes a norm, those around you will realize that there is something seriously wrong with you.Failure to meet expectationsAddicts fall back on deadlines, do not attend to work or attend to appointments – they either forget, are unwell or simply don’t care since their substance becomes all-important.While the addict is high, he may make tall promises to go there or do that, but for one reason ot the other, fails to live up to his commitments.Many a times, due to extreme mood swings, what appeared like a great idea when he is high doesn’t seem attractive any more when he is down. So he doesn’t have an intention of fulfilling his promises any more.Such behavior often leaves friends, colleagues and family members disappointed and saddened by broken promises and false hope.Stop fooling yourselfAddiction not only damages your physical and mental well-being, it also adversely affects your relationships. Substance abuse has a huge social cost.Your loved ones build disappointment, anger, resentments and fear in the relationship. Their trust is broken. They feel your behavior and reactions are unjust and, deep down, you know it too.Continued abuse of alcohol and drugs leads to rapid deterioration in relationships. The addict may end up shunned and alone. This, in turn, will lead to increased drug use and depression.Professional drug and rehabilitation services are widely available. They are not there to judge - they are there to help.It is vital you seek this assistance before it’s too late.Get honest with yourself. And reclaim your life!

3 Common (And Frustrating) Excuses Addicts Use

Ms. Raisa Luther, Psychotherapist
It is most heartbreaking to watch a loved one succumbing to alcohol and drug addiction. For the family and close friends, it is an experience full of hurt, anger, shame, guilt and fear. And when they try and help the addict, it becomes frustrating since he tries his best to avoid treatment. The alcoholic or addict will try everything in his power - and they can be really clever in giving reasons – to convince his well-wishers why he doesn’t need to go in for treatment. Though family and friends may be tempted to believe the words of their loved ones (like once again believing in promises despite many broken ones), remember that the main goal of confronting people about substance abuse issues is getting them into a treatment program.The goal should be to somehow get the addicted person into a rehab, even if he is in denial about his problem. In such a scenario, rehabs such as Hope Trust in India have effective protocols to break the addict’s denial (with family interventions) and ultimately motivate him toward meaningful recovery.So what are the 3 most common excuses an addict uses to avoid treatment? In our experience, they are:1. ‘I can stop whenever I want to.’Despite repeated trials and promises, the addict is helpless in stopping his drug or alcohol use. He may try all sorts of controlling strategies, but all of them are likely to fail. However, he still feels, and claims, he can stop whenever he wants to.This excuse falls under the category of denial.2. ‘I know someone who went to treatment and relapsed, so why should I go?’Unfortunately, the sad truth about drug and alcohol addiction is that many who attend treatment programs relapse at one point in their lives. However, what this excuse gets wrong is that relapse is not a vote against addiction treatment programs, but a testament to how difficult it is to recover from addiction.The fact is that addiction is a highly relapse prone ‘disease’. But not seeking treatment is like saying “I know many who have taken treatment for heart disease, but still have suffered a heart attack”.Many experts believe that relapse is a natural part of the recovery process, and that people who recommit themselves to their sobriety after a relapse event are even more successful at living healthy lives than ever before. (Hope Trust’s statistics validate this). After all, just because something like addiction treatment is difficult does not mean that it is not worth doing. There are many who have undergone addiction treatment successfully and are leading happy, successful lives because of it. We need to look at the positive potential, not the negative possibilities. But then, an addict does develop a negative outlook and uses it to avoid treatment.3. ‘All my friends do drugs and drink alcohol. What am I going to do after addiction treatment?’This is a common and a genuine fear. An addict has come to believe that substance abuse and ‘fun’ are inter-related. He cannot imagine a life without alcohol or drugs. And his current social circle comprises only persons who similarly use alcohol and drugs and life without these ‘friends’ is unthinkable. This is one of the most difficult excuses to address, because people may have genuine feelings of companionship with those who they have drank or done drugs with. These friends know the struggles of addiction in intimate detail, and people may be reluctant to give them up so easily. Recovery means discovering new games to play, new playgrounds and new game mates. While in rehab, the addict begins to discover the sheer pleasure of staying clean – getting natural sleep with aid of drugs, tasting food as it should, laughing, sharing…and as they progress in recovery and other things in life begin to get settle down and get better (relationships, career, finances, respect in community, joy of service, etc) they begin to realize the true worth of sobriety and get further motivated.

Problem Child or Problem Parent?

Dr. Milan Balakrishnan, Psychiatrist
I strongly believe that a problematic child is a result of a number of factors, the most important of which is the parenting. Effective parenting is the best way to solve these problems.To begin with, let me introduce some of the common behavioural problems that children have and how you as parents can deal with them.It takes time for children to learn how to behave properly. With help and encouragement from parents and teachers, most of them will learn quickly. All children will sometimes disobey adults. Occasionally, a child will have a temper tantrum, or an outburst of aggressive or destructive behaviour, but this is nothing to worry about. He may argue fight, hold his breath, bawl and threaten you as long it is occasional it does not create a problem. You just need to leave him alone and give him time to recover.Behavioural problems – the signsBehavioural problems can occur in children of all ages. Very often they start in early life. Toddlers and young children may refuse to do as they are asked by adults, in spite of being asked many times. They can be rude, swear and have tantrums. Hitting and kicking of other people is common.So is breaking or spoiling things that matter to others.Some children have serious behavioural problems. The signs of this to look out for are:If the child continues to behave badly for several months or longer, is repeatedly being disobedient, cheeky and aggressiveIf their behaviour is out of the ordinary, and seriously breaks the rules accepted in their family and community, this is much more than ordinary childish mischief or adolescent rebelliousness. This sort of behaviour can affect a child’s development, and can interfere with their ability to lead a normal life. When behaviour is this much of a problem, it is called a conduct disorder.What does this mean?Children with a conduct disorder may get involved in more violent physical fights, and may steal or lie, without any sign of remorse or guilt when they are found out.They refuse to follow rules and may start to break the law. They may start to stay out late at night and create trouble in school during the day.Teenagers with conduct disorder may also take risks with their health and safety by taking illegal drugs or having unprotected sexual intercourse. They experiment with alcohol, cannabis and inhalantsWhat effect can this have?This kind of behaviour puts a huge strain on the family and makes you as parents feel very upset and sometimes even guilty. Children who behave like this will often find it difficult to make friends. Even though they might be quite bright, they don’t do well at school and are often near the bottom of the class.On the inside, the young person may be feeling that they are worthless and that they just can’t do anything right. It is common for them to blame others for their difficulties if they do not know how to change for the better.What causes oppositional defiant disorder/conduct disorder?A child is more likely to develop an oppositional defiant disorder/conduct disorder if they:have a difficult temperament;have learning or reading difficulties – these make it difficult for them to understand and take part in lessons. It is then easy for them to get bored, feel stupid and misbehave;are depressed;have been bullied or abused;are ‘hyperactive’ – this causes difficulties with self-control, paying attention and following rules.Parents themselves can sometimes unknowingly make things worse by giving too little attention to good behaviour, always being too quick to criticise, or by being too flexible about the rules and not supervising their children adequately. This often happens if one of the  parents especially the mother is depressed, exhausted or overwhelmed. Parents not getting along with each other and domestic violence can add to this.Giving too little attention to good behaviour:As a parent, it can be easy to ignore your child when they are being good, and only pay attention to them when they are behaving badly. Over time, the child learns that they only get attention when they are breaking rules. Most children, including teenagers, need a lot of attention from their parents, and will do whatever it takes to get it.Perhaps surprisingly, they seem to prefer angry or critical attention to being ignored. It’s easy to see how, over time, a ‘vicious cycle’ is set up.Being too flexible about the rules:Children need to learn that rules are important and that ‘no’ means ‘no’. Keeping this up is hard work for parents. It can be tempting to give in ‘for a quiet life’. The trouble is that this teaches the child to push the limits until they get what they want. Teenagers need to know that their parents care about them. They must also understand that rules are needed to protect their safety and that they must learn to live within these rules.What can you as parents do?Treat children as young adults. Children go through the same emotional issues that adults do only their coping is limited making it difficult for them to handle it in a mature manner and with all that pent up energy it manifests in physical and behavioural waysParents can do a lot. It helps if discipline is fair and consistent, and it is crucial for both parents to agree on how to handle their child’s behaviour (Read article on good parenting  http://blog.mindcares.com/parenting-the-toughest-job-in-the-world/). All young people need praise and rewards when they improve their behaviour. This can be hard. Remember to praise even the small, everyday things, and let them know that you love and appreciate them.It is worth asking the school about whether they are also worried about your child’s behaviour. It is helpful if parents and teachers can work together. Extra teaching may sometimes be  necessary.If serious problems continue for more than 3 months, its best to seek professional help from a psychiatrist or a psychologist dealing with children’s issues.Leave your comments on this article. Criticism and brick-bats are also welcome.

Top 10 Myths About Addiction You Probably Believe

Ms. Raisa Luther, Psychotherapist
Think you know about addiction? Then these common myths may sound familiar:Myth 1: Drug addiction is voluntary behaviour.  You start out occasionally using alcohol or other drugs, and that is a voluntary decision. But as times passes, something happens, and you become a compulsive drug user. Why? Because over time, continued use of addictive drugs changes your brain - in dramatic, toxic ways at times, more subtly at others, but virtually always in ways that result in compulsive and even uncontrollable drug use.Myth 2: Drug addiction is a character flaw.  Drug addiction is a brain disease. Every type of drug - from alcohol to heroin - has its own mechanism for changing how the brain functions. But regardless of the addiction, the effects on the brain are similar, ranging from changes in the molecules and cells that make up the brain to mood and memory processes - even on motor skills such as walking and talking. The drug becomes the single most powerful motivator in your life.Myth 3: You can't force someone into treatment.  Treatment does not have to be voluntary. Those coerced into treatment by the family or the legal system can be just as successful as those who enter treatment voluntarily. Sometimes they do better, as they are more likely to remain in treatment longer and to complete the program. In 1999, over half of adolescents admitted into treatment in USA were directed to do so by the criminal justice system.Myth 4: Treatment for drug addiction should be a one-shot deal. Like many other illnesses, drug addiction typically is a chronic disorder. Some people can quit drug use "cold turkey," or they can stop after receiving treatment just one time at a rehabilitation facility. But most people who abuse drugs require longer-term treatment and, in many instances, repeated treatments.Myth 5: We should strive to find a "magic bullet" to treat all forms of drug abuse.  There is no "one size fits all" form of drug treatment, much less a magic bullet that suddenly will cure addiction. Different people have different drug abuse-related problems. And they respond very differently to similar forms of treatment, even when they're abusing the same drug. As a result, drug addicts need an array of treatments and services tailored to address their unique needs. Finding an approach that is personally effective can mean trying out several different doctors or treatment centres before a "match" is found between patient and program. The 12 - Step program has proved to be the most effective treatment (WHO); a 12 - Step rehab with competent protocols to address the individual needs of clients is obviously the best bet. Myth 6: People don't need treatment. They can stop using drugs if they really want to. It is extremely hard for people addicted to drugs to achieve and maintain long-term abstinence. Research shows that when long-term drug use actually changes a person's brain function, it causes them to crave the drug even more, making it increasingly difficult to quit without effective treatment. Intervening and stopping substance abuse early is important, as children become addicted to drugs much faster than adults and risk greater physical, mental and psychological harm.Myth 7: Treatment just doesn't work. Studies show drug treatment reduces drug use by 40 to 60 percent and can significantly decrease criminal activity during and after treatment. There is also evidence that drug addiction treatment reduces the risk of infectious disease, Hepatitis C and HIV infection - intravenous-drug users who enter and stay in treatment are up to six times less likely to become infected with HIV - and improves the prospects for getting and keeping a job up to 40 percent.Myth 8: No one voluntarily seeks treatment until they hit rock bottom.  There are many things that can motivate a person to enter and complete treatment before that happens. Pressure from family members and employers, as well as personal recognition that they have a problem, can be powerful motivators. For teens, parents and school administrators are often driving forces in getting them into treatment before situations become dire.Myth 9: People can successfully finish drug abuse treatment in a couple of weeks if they're truly motivated. For treatment to have an effect, research indicates a minimum of 90 days of treatment for outpatient drug-free programs, and 21 days for short-term inpatient programs. Follow-up supervision and support are essential. In all recovery programs, the best predictor of success is the length of treatment. Patients who are treated for at least a year are more than twice as likely to remain drug free, and a recent study showed adolescents who met or exceeded the minimum treatment time were over one and a half times more likely to stay away from drugs and alcohol.Myth 10: People who continue to abuse drugs after treatment are hopeless. Completing a treatment program is merely the first step in the struggle for recovery that can last a lifetime. Drug addiction is a chronic disorder; occasional relapses do not mean failure. Psychological stress from work or family problems, social cues - meeting some from the drug-using past - or the environment - encountering streets, objects or even smells associated with drug use - can easily trigger a relapse. Addicts are most vulnerable to drug use during the few months immediately following their release from treatment. Recovery is a long process and frequently requires multiple treatment attempts before complete and consistent sobriety can be achieved.

International Day Against Drug Abuse & Illicit Trafficking

Dr. Sumit Dubey, Dentist
Today is International Day against Drug abuse & Illicit Trafficking. 26th Day of June 2016‪#‎Drug‬ ‪#‎abuse‬ effects cardiac crisis, respiratory depression, liver cirrhosis, nephropathy, infectious diseases such as ‪#‎hepatitis‬, ‪#‎AIDS‬, and‪#‎tuberculosis‬, injury - associated disability, mental disorders - ‪#‎depression‬& also oral health problems - dental ‪#‎caries‬, ‪#‎periodontal‬ diseases,‪#‎mucosal‬ ‪#‎dysplasia‬, ‪#‎xerostomia‬, ‪#‎bruxism‬, tooth wear, and tooth loss.These drug categories include opiates, ‪#‎cannabis‬, ‪#‎hallucinogens‬,‪#‎cocaine‬ - and ‪#‎amphetamine‬ - type stimulants & club drugs. Oral health complications associated with #drug abuse may result from direct exposure of oral tissues to drugs during ‪#‎smoking‬ or ‪#‎ingestion‬, biologic interaction of drugs with normal physiology of oral cavity, and effects of drugs on brain function which result in a spectrum of addictive behaviours such as risk-taking behaviour, poor hygiene, ‪#‎aggression‬, and‪#‎carelessness‬.To empower dentists by providing ‪#‎oral‬ ‪#‎health‬ education & prevention material brochure / booklets/ videos / stories / real life stories of survivors for addicts and their families.‪#‎Dental‬ services should be established in ‪#‎addiction‬ ‪#‎rehabilitation‬centers to improve access to dental treatment. • Diagnosis and management of oral problems in addicts• Management of systemic disorders related to addiction during dental treatments• Behavioural and psychological management of addicts during dental treatments• Encouraging dentists’ positive attitude toward addicts• Cross-infection control of blood-borne diseases‪#‎antiDrugs‬ ‪#‎Heroine‬ #cocaine ‪#‎injectableDrugs‬ #antismoking #quitTobacco #bidi #gutkha #khaini #HASNAA #OralHealth #RuralOralHealth #OralHygiene #youth #life #Precious

How to Tackle Sexual Queries of Your Children?

Dr. Sanjay Tambe, Homeopath
14 year old Aditi had a problem, “Changes are occurring in my body and I am experiencing strange attraction towards youngsters of my age; is curious, at the same time a matter of concern also. I need to know about the changes occurring to my physical body, but the family members, specially my mother avoids answering. Increasing dominance of western culture and the vulgarity being shown in the TV, are mind – boggling. I quite understand the meaning of “I am young but not an idiot” but I want to know much more in this matter.Aditi is not the only child to have such questions about sexuality; the girls of her age do possess such inquisitive feelings. Only few get satisfactory replies to their question on this matter. However, in today’s scientific age, where open discussion on this subject is considered to be inferiority and reading books, magazines, periodicals on sexuality is termed as immoral where shall these girls tend answers to their questions? Isn't our narrow minded approach responsible for this?Sexual behaviour is a natural instinct in human beings. This instinct develops slowly in girls & boys right from their birth. Social environment, religious culture and the parental affection received by the child up to the age of 8 to 10 reflects in sexual emotions rising during adolescence.The internal and bodily changes occurring during the adolescence, goes to develop emotional upsurge in the child. Their upcoming personality also reflects in this period. In the present TV infested age this development normally commences at the age of 10 and is completed by 16th year. It is natural at this age to give vent to ideas on sexual or any subject as also to think about the strange changes occurring in the body. Normally, children expect a satisfactory explanation to their problems from the parents, however it proves to be a difficult task for the parents to give appropriate and satisfactory answer to their siblings. This is apparently due to the fact that the modern day changes are quite different from the changes that occurred in them during that age.How are the babies born ? Where do they come from? From which place my brother/ sister came ? What is menses? How and why does it come? Why boys do not have menstruation? Why marriage is essential? How do women conceive? What is abortion ? Can child birth happen before marriage? These and thousands of other such questions haunt the adolescent young minds, expecting satisfactory replies. Not satisfying inquisitive minds, giving evasive replies, efforts to avoid such subjects, scolding to quieten them or telling that they would know by themselves when time comes - all these are improper ways for dealing with the inquisitive mind of the child. Youngsters tend to get a shock when they actually realize that their parents lied to them and mislead them. Such a situation leads them to determine, not to open themselves to their parents. In fact an open discussion on such subjects is essential to develop friendly relation between parents and child.Kids passing through the tender adolescence period are ignorant about the changes occurring in their body. In this period, they are burdened to formulate their educational career. In such a state when their enquiries fail to get proper answers, they tend seek other sources, which eventually devours the child. These range from vulgar magazines, internet, depend on blue films or talk to their friends on these subjects. However, these avenues instead of increasing their knowledge, drive them to unwanted paths, and prove responsible for the disaster. Hence, it is essential that the parents prepare themselves to discuss openly with their kids on these subjects. Unless parents understand that such questions arise naturally in the minds of their children and raising such issues is not improper, they would not be able to guide their child properly.How to guide children:In order to provide proper guidance to children, a close watch on their behavior is essential including timely communication, so that children develop self-confidence.If conversation on sexual matters proves difficult then arrangement for providing books on this subject should be made by father for son and by mother for daughter. However, the books must be gone through before providing the same to children, to confirm suitability.Parents should fully understand and take this for granted that information and sexual matters are equally important compared to knowledge of other worldly matters of life.Due to changes in the inspiration fluids in the body it is natural to develop curiosity about them. Cropping up of innumerable queries in the mind and developing attraction towards opposite sex is just and ordinary matter at this age.Performing sexual activity in tender age can lead to several disorders (eg- venereal diseases, AIDS etc.). Similarly conceiving at small age can give rise to several problems is the future life. Parents must impart awareness in the kids in the regard.Putting multifarious restrictions on the girl when she become adolescent does not indicate that we have concern for her. “See now you are grown up so take care, don't talk to boys, they are bad, don’t go alone anywhere avoid going to neighbor when men are alone in the house, never believe a married man” – these and so many other wrong advises, produce hatred towards opposite sex in the mind of girl. Such teaching may prove harmful in their married life. Contrarily the girls should be given more freedom after proper guidance.Sexual information – when and how?There can be no limitation of age and time for providing sexual knowledge. This can be done even to a child of 5 years.Children of tender age are often subjected to sexual information above their level of understanding, lured by relatives or physically abused. These victimized children remain helpless due to ignorance of the adults around them. If they are pre – informed about such things then they can protect themselves and inform their parents about such incidents.Instead of scolding or beating children for any acts performed due to sexual attraction, they should be treated in a friendly manner. Information published in the newspapers/periodicals should be explained to them properly. Efforts should be made to give precise and satisfactory replies to their multifarious queries.However, while imparting sexual knowledge, care should be taken to ensure that children do not desist from their educational career. They should be made to understand that sexual pleasure can be obtained in its fullest at the proper time. Instead of coercing them for studies they should be allowed to enjoy from play and entertainment. This may distract their attention from sexual – thought and may help in deciding their goal in life.Important instructions for Parents and Teachers:Parents and teachers are the ones who reply and explain the curiosity and questions raised by children in their tender age. On receiving proper guidance these children develop in to responsible citizens and parents. To remove the apposition of the parent –teacher management in regard to sexual education, they should be first be taught about lessons in sexual – education.System of Sexual – EducationSexual – education should start from home, Once parents are awakened and the schools / colleges also start taking active part the child will automatically get awakened.Instead of criticizing and coercing element of hard- work and labour should be infused in their mind.Child needs solitude similar to elders. Constant hackling can distance the kid from parents.Sexual matter should discussed in plain and simple manner, instead of circumventing them hiding facts of giving tactical replies create more curiosity in the mind of children. This may result in less of attention towards studies and may further bad to wrongful deeds.Instead of waiting for a question from the child sexual information should be given voluntarily depending on age.While imparting sexual information special care should be taken to ensure that the child does not desist from his normal – studies and does not fall in bad ways.A close watch should be kept and day – to – day information should be obtained about the friends and the company which he keeps.Proper and satisfactory replies to the questions arising during the adolescence period can go a long way in helping the youngsters in achieving happy and joyful married – life. Children can also protect themselves from sexual abuse and various other social atrocities.